Permit CITY OF TIGARD MASTER PERMIT
_ COMMUNITY DEVELOPMENT Permit#: MST2022-00097
Date Issued: 04/25/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC06800
Jurisdiction: Tigard
Site address: 13730 SW SABRINA AVE
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 68
Project: Shokri
Project Description: Solar photovoltaic system 7.2 kW
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $4,003.20 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add9 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
N
Other: Y Other Description: Roof top solar array 7.2 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
SHOKRI.MOSTAFA BRS FIELD OPS LLC Required Items and Reports(Conditions)
SHOKRI,POURIA 1403 NORTH RESEARCH WAY
EGHBALI,PARISA OREM,UT 84097
13730 SW SABRINA AVE
TIGARD,OR 97140
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $362.69
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law require you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Permittee Signature: � `�/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the iob site at the time of each inspection.
Building Permit Application
Residential RECEIVE r) FOR OFFICE USE ONLY
ilhCity of Tigard APR od;ec;By`: G/ �� /4 )4519..0).....)
%f�' ) ,"
'� 13125 SW Hall Blvd.,Tigard,OR 97223 6 2022 Plan Review 1 n t Phone: 503.718.2439 Fax: 503.598.1 OF TIGARL Date/By: 2 Other Permit:
ltiAR Inspection Line: 503.639.4175 + r� Date Ready/By: Juris: p See Page 2 for
Internet: www.tigard-or.gov BUILDING UI�I7IOr ���fwJif�i�ed/Method:/ /Z� Supplemental Information
TYPE OF WORK "` R.. UIRED DATA:1-AND 2-FA\IR,Y DWELLING
❑New construction ❑ Demolition Permit lees*are based on the value of the work performed.
----- Indicate the value(rounded to the nearest dollar)of all
❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
— -- Valuation: $ 4003.20
❑ 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13730 SW Sabrina Ave,Sherwood, Oregon,97140 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Mostafa Shokri Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:CO)IMERCIAL-LSE Cl1ECKLISf
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
€ : ; p5c ` ' / DESCRIPTION OF )PORK work indicated on this application.
f r. cR, �
Rooftop Solar PV 7 1 Valuation: $
Existing building area: square feet
New building area: square feet
i .
MI
PROPERTY OWNER El TENANT Number of stories:
Name: Mostafa Shokri Type of construction:
Address: 13730 SW Sabrina Ave,Sherwood,Oregon,97140 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
------- ------ -----
APPLICANT ® CONTACT PERSON BI!ILDING PERMIT FEES*
Business name. BRS Field Ops, LLC (Please.refer to jeeschedu[e)
Structural plan review fee(or deposit):
Contact name: Spencer Fong
FLS plan review fee(if applicable):
Address: 1403 N Research Way
Total fees due upon application:
City/State/ZIP: Orem,UT 84097
( Amount received:
Phone:( 385)482-0045 Fax: :( )
E-mail: permitting.deparment@blueravensolar.com P1101 OVOI 1 AIC.SOLAR PANEL SYSTEM FEES*
fir:, r 5S !9t *r: a Tom, r a i Commercial and residential prescriptive installation of
r�� i ¢ ' i ;' ` r ie.. C...,. „ r roof-top mounted Photovoltaic Solar Panel System.
r-r' .�>�.�.- , '�tt., �rx�s�„x� ire_
Business name: BRS Field Ops, LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1403 N Research Way Solar Installation Specialty Code checklist.
City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 385)482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 227185
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
Permitting Coordinator within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: Spencer Fon Date: 04/01 /2022 Service Board.
1 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Permit#:
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
_ Inspection Line: 503.639.4175 ReadyDate/By: Janis:
p � ® See Page 2 for
I WARD Internet: www.tigard-or.gov Notilled Method Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction [j Addition/alteration/replacement Please check:ill that apply(suborn 2 sets of plans wiitems checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-family wellin d ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
p Elg ❑ Commercial/industrial
amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
— Addition of new motor load of system.
.lob#: Jloh,ire address: 13730 SW Sabrina Ave, Sherwood, Oregon, 9/16RP or more. ❑"A","E","1-z", '1-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Mostafa Shokri ElHazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ," , , i t�a
�.:�� 4 faa , '".,.a.0 to
Description Qty. Each Total *
New residential single-or multi-family dwelling unit.
i Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK. Limited energy,residential
Rooftop Solar PV (with above sq.ft.) 75.00 2
Limited energy,multi-family
iresidential(with above sq.ft.) 75.00 2
— Renewable Energy ❑ See Page 2
PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
tt Name: Mostafa Shokri 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
I Address: 13730 SW Sabrina Ave,Sherwood,Oregon,97140
---- 401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
`' 401 amps to 599 amps 168.54 2
Owner signature: Date: P P
r 7 - ^ Branch circuits—new,alteration,or extension,per panel
„4. „ ..`FA,. O ,,, ,),�° LI CONTACT PERSON
A.Fee for branch circuits with
Business name: BRS Field Ops,LLC above service or feeder fee, 7.42 2
each branch circuit
'/ Contact name: Spencer Fong B.Fee for branch circuits without
I Address: 1403 N Research Way service or feeder fee,first 56.18 2
I branch circuit
City/State/ZIP: Orem, UT 84097
Each add'l branch circuit 7.42 2
p Miscellaneous(service or feeder not included)
Phone:( 385)482-0045 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com
Reconnect only 67.84 2
r ,. CONTRACTOR Pump or irrigation circle 67.84 2
Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 1403 N Research Way panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Orem, UT 84097 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( 385) 482-0045 Fax:( ) Investigation(I hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: permitting.department@blueravensolar.com
Inspections for which no fee is 90.00/hr
CCB Lic.: 227185 Electrical L'c.: Cl
, Suprv.Lic.: 6394S specifically listed(/z hr min)
ELECTRICAL PERMIT
Suprv.Electrician signature,required: if/ Subtotal:l `JFEES'
Print name: Shan Whittaker Date: 04/01 /2022 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ,Yj (�(!(!� /� TOTAL PERMIT FEE:
I Permitting Coordinator
This permit application expires if a permit is not obtained within 180
t Print name: Spencer Fong Date: 04/01 /2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440.4615T(I I/05/COM/WEB
Electricall'ermit Application —City of Tigard
Page 2 Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
;I ES�I3E , *Y R�°0ir� ���ErE _ --FEE is SCHEDULE
Gn,»M, ,� ��„z, �x,:
_ lln. 1 c,c�;
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 2
Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva: _
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically
listed(/hr min)
as � � �.�w >, �� ��
aka .,r,. ., �.
INO, r _ :: �g ��
Fee for each commercial system: $75.00 allowedSubtotal per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
I I Boiler Controls
Clock Systems
Data Telecommunication Installation
Fire Alarm Installation
HVAC
Instrumentation
I � Intercom and Paging Systems
Landscape Irrigation Control*
Medical
Nurse Calls
I I Outdoor Landscape Lighting*
❑ Protective Signaling
Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I ABuilding/Permits/ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015